NR 439 Discussion The Literature Review and Searching for Evidence

The first question asks you to

Locate the literature review section. Summarize using your own words from one of the study/literature findings. Be sure to identify which study you are summarizing.

To clarify, you are not supposed to summarize the findings from THIS study – you are supposed to summarize one of the study findings from within the literature review, and make sure to identify which you are summarizing.

The second question asks you to “Discuss how the author’s review of literature (studies) supported the research purpose/problem.” (This means how did Boyle & Thompson’s review of the literature support Boyle & Thompson’s research purpose/question.)

In order to answer the third question, I strongly suggest that you read the required readings in Houser this week. You really won’t be able to answer the questions without doing so.

There was a slight error in the discussion questions. The correct reference for the article for this week should be:

Boyle, D. K. , & Thompson, S. A. (2020). CMSRNs’ continuing competence methods and perceived value of certification: A descriptive study. MEDSURG Nursing, 29(4), 229-254. https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=145282314&site=eds-live&scope=siteLinks to an external site.

Also, a reminder that your week 3 assignment is due this week. Remember to put the actual PICOT letters into the question. Also remember that not only your topic but also your INTERVENTION must be an independent nursing function.

Literature review and summarize by using my own words.

After Conducting a large-number survey, The American Board of Nursing Specialties (ABNS) summarized three top facilitators and barriers of obtaining and maintaining nursing certification (Niebuhr & Biel, 2007).

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The top three facilitators are:

Reimbursement for exam fees
- Renewal fees
- Continuing education

The top three barriers are:

Cost of the exam
- Lack of institutional support
- Lack of time and materials preparing for the exam

Discuss how the author’s review of studies supported the research problem. Share something that was interesting to me as I read through the literature review section.

Boyle uses Niebuhr’s quantitative study “The value of specialty nursing certification” to support her subject matter. Niebuhr’s survey was done on 8,615 certified nurses from 20 ABNS member organizations (Boyle, 2020). Boyle use Niebuhr’s large-sample study to support her theme. The quantitative study gathers information and analyze the data. The study has no report for response percentages. This type of study is attempting to understand the phenomena (Houser, 2018). I was surprised to the fact that lack of institutional support is one of the top three barriers. I have been working in three different medical organizations, and most of my friends are in nursing field. This has never been a barrier for us.

NR 439 Discussion The Literature Review and Searching for Evidence

Describe one strategy that I learned that would help me create a strong literature review/research for evidence. Share my thoughts on the importance of a thorough review of the literature.

One strategy I learned that would help me to create a strong literature review/research for evidence is the following. When conducting research, use standard designs, methods, and procedure whenever possible (Houser, 2018). I have also learned to follow steps when evaluating the quality of a research report, and the importance of utilizing trusted unbiased literature to support my research (Houser, 2018). I should use the most recent application literatures as possible. It will help me saving time and having a higher start point. It is also very importance to focus on the research topic and to know designed audiences for the study results. I have learned that besides primary resource information, such as clinical trials; secondary source information, potential search tools that I can trust are CINAHL, MEDLINE/PubMed, PsycINFO, and Cochrane central Register of Controlled trails (Houser, 2018).

Reference:

Boyle, D. K., & Thompson, S. A. (2020). CMSRNs’ continuing competence methods and perceived value of certification: A descriptive study. MEDSURG Nursing, 29(4), 229-254. https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=145282314&site=eds-live&scope=siteLinks to an external site.

Niebuhr, B., & Biel, M. (2007). The value of specialty nursing certification. Nursing Outlook, 55(4), 176-181.

http://doi.org/10.1016/j.outlook.2007.02.002Links to an external site.

Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Jones & Bartlett.

Question 1

Locate the literature review section Summarize using your own words from one of the study/literature findings. Be sure to identify which study you are summarizing.

I choose to summarize the Research article: Continuing Competencies: There were four categories of literature noted in the study from 2012-2020. They were Validation, international, and competencies in the disciplines other than nursing. It was found that some educational sessions that were utilized lacked quality of knowledge, needed. The study highlighted that professionals might attend cheap and convenient education courses that lacked quality or are not in what particularly necessary in the practice and in greatest need (Boyle2020). It also stated that participants “may not be to understand, retain, or use the information provided and attendance in the courses does not ensure changes in practice” (Boyle. 2020). The review discussed several means of continuing competency methods through publication and professional presentation, portfolios, and performance formal 360 degree assessment. (Boyle. 2020). The article mentioned simulations on virtual and actual patients are also accepted but felt there was not enough evidence to support Simulations were used as means of evaluating competence in credentialing and certifying.

Question 2

Discuss how the author’s review of literature (studies) supported the research purpose/problem. Share something that was interesting to you as you read through the literature review section.

The research was focused on review of continuing competencies for ensuring certification and credentialing. The research had four components. There were 50 or more articles over a time span, so accuracy is evident. The author quoted Di Leonardi several times. Di Leonardi was a member of a task force of authors which were sponsored by an organization that has accreditation Board of Specialty Nurse Certification (Leonardi. Et.at. 2019). “The task force discovered perspectives on continuing competency and found although licensing and credentialing organization addressed the topic thoroughly, little attention has be devoted to the perspectives of individual clinicians, and recipients of clinician services”. (Leonardi. Et.al 2019). It was stated by the members of the task force that conducted the study Boyle had did a successful job at contributing research to her review of the studies done by Di Leonardi to address continuing competence by quoting the researcher several times which supported the review. I found it interesting that the literature review section for continuing competencies didn’t give much merit to using simulation for evaluation I worked in a .facility which we had quarterly mock simulation and codes. It was called over the P.A. system, all necessary departments responded. We would go the full drill as if it were a real code, then have a debriefing to discuss what could be improved.. This involved nursing, doctors, anesthesia, lab and the house supervisor etc. I found it quite useful and informative.

Question 3

Describe one strategy that you learned that would help you create a strong literature review research for evidence. Share your thoughts on the importance of a though review of literature.

The strategy tatt I learned and will adopt is using as much research literature that is available for your Evidence Based research. Get yourself comfortable with the process, be through in your search don’t be uncomfortable about asking for help. Don’t try to reinvent the wheel.

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Reference

Boyle, D. K. & Thompson, S. A. (2020). CMSRNs’ continuing competence methods and perceived value of certification: A descriptive study. MEDSURG Nursing, 29(4), 229-254. https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=145282314&site=eds-live&scope=siteLinks to an external site.

Leonardi, B., Search for more papers by this author, Hagler, D., Marshall, D., Stobinski, J., & Welsh, S. (2019, December 17). From competence to continuing competency. Retrieved March 16, 2021, from https://journals.healio.com/doi/10.3928/00220124-20191217-05Links to an external site.

I found your post very interesting to read. I agree that obtaining a a nursing license is very expensive not only do you pay for school but then you have to pay a fee to obtain a license after spending tons of money on school. Also the exam preparations are super expensive I studied through uworld to prepare for nclex and that cost an arm and a leg also! Where I work they push for you to obtain certifications and further education I have never had a lack of institutional support in anything I have done in regards to my education. “The current lack of nursing students does not stem from a disinterested generation, but rather from a lack of funding and educational resources to accommodate qualified applicants” (Monster, 2019). I found this interesting to read. Thanks again for the great post!

Reference:

Monster. (2019). The Nursing Shortage Isn’t Due to Lack of Interest. Monster Career Advice. https://www.monster.com/career-advice/article/nursing-shortageLinks to an external site.

I will be the first to say that I am not sure if I’m fully understanding this week’s discussion topic, but nonetheless, here we go…

The value for why a nurse would obtain a certification, whether it be personal or professional, is dependent upon the individual. Generally speaking, the validation and formal recognition of a nurse’s knowledge, skills, and abilities are enhanced when a nurse obtains a certification in a specialized area. In the article, CMSRNs’ continuing competence methods and perceived value of certification: A descriptive study, by Boyle & Thompson (2020), studies were conducted by several different review boards using the Perceived Value of Certification Tool (PVCT) to determine if obtaining a certification was done by a nurse for the: 1) intrinsic/extrinsic reward, and/or 2) personal/professional incentive.

According to Boyle & Thompson (2020), the PVCT study that was done by several systematic review boards ranked 12 intrinsic value statements and 6 extrinsic value statements. A combination of both personal and professional reasons as to why certification was valued was intertwined within the intrinsic/extrinsic ranks. This is particularly interesting to me because I have the CVRN-BC certification…and I can say that all of the values listed, whether it is intrinsic or extrinsic, personal or professional, are absolutely all the reasons why I value my certification. Obtaining my certification was such a challenge for me because it came at a time when I was questioning my knowledge, abilities, and skills as a nurse. The personal feelings of accomplishment and satisfaction I felt when I passed the exam was done more so to prove to myself and my coworkers that I do possess the knowledge and skills it takes to work in such a fast-paced, high-stress area.

That all being said, the article seemed rather limited on the information of the actual PVCT used by all of the review boards. As stated in prior discussion, research is only one aspect of evidence-based practice (EBP). EBP requires looking at a situation from multiple facets within a community. One of the strategies that our textbook mentions for creating a strong literature review/search for evidence would be the selection of resources from a comprehensive database (Houser, 2018). Using a comprehensive database, such as CINAHL, to search more on how PVCT can go beyond nursing and into other realms of healthcare would be beneficial to everyone.

References:

Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Jones & Bartlett.

OK…I think I get it now. Here’s take two!

In the article, CMSRNs’ continuing competence methods and perceived value of certification: A descriptive study, by Boyle & Thompson (2020), one of the studies that researched the value of a nursing specialty certification was done by Whitehead and colleagues in 2019. The research included a review of 41 articles published between 2000-2018. The review findings contained several categories for valuing certifications. These included: 1) personal and professional incentives, 2) knowledge and skills, 3) job satisfaction, 4) organizational commitment, 5) empowerment, and 6) confidence. Under the category of personal and professional incentive, the Perceived Value of Certification Tool (PVCT) was used and determined the value was based on two different factors: intrinsic and extrinsic rewards (Boyle & Thompson, 2020).

The top 3 intrinsic rewards for nursing specialty certification:

enhanced feelings of personal accomplishment (98.45%)
- personal satisfaction (97.93%)
- validation of specialized knowledge (97.13%)

The top 3 extrinsic rewards for nursing specialty certifications:

promotes recognition from peers (85.96%)
- promotes recognition from other health professionals (78.68%)
- promotes recognition from employers (84.45%)

The findings from the research study by Whitehead and colleagues support Boyle & Thompson’s purpose of determining the value of nursing specialty certification by having the PVCT included within their research. The fact that the value for obtaining certification was more intrinsic than extrinsic is something that I found interesting. From the personal experience of having obtained a certification myself, I can understand how it brings about self-fulfillment, however, the encouragement to pursue the certification came from extrinsic forces (i.e. – my manager and charge nurse).

In regards to a strategy that would help create a strong literature review/search, our textbook mentions to select resources from a comprehensive clinical database (Houser, 2018). While Whitehead and colleagues’ research was thorough and comprehensive, one could argue that the sample size for the base of their research was small (only 41 articles utilized). Using a comprehensive database, such as CINAHL, which has access to thousands of scholarly articles, books, journals, and research papers, one could go delve more into the value of a nursing specialty certification. The importance for a thorough review of the literature is to remember that despite all the evidence presented, it is still an article of opinion. Therefore, providing as much evidence as possible to defend and convince others of one’s hypothesis could only be enhanced by greater numbers.

References:

Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Jones & Bartlett.

NR 439 Discussion The Literature Review and Searching for Evidence